Cognitive Behavior Therapy Based Treatment for Post-Traumatic Stress Disorders: Cognitive Processing Therapy Approach What do you do when you experience a life threatening, traumatic event, and months later you are still experiencing the same frightening responses? Individuals who experience trauma are often forced to face their problems long after the event has happened. The first step to dealing with this issue would be to seek professional help as soon as possible so that they may be properly diagnosed and receive accurate treatment to overcome the intrusive symptoms. An individual who is suffering from symptoms of post-traumatic stress disorder (PTSD) have experienced, witnessed, or was affected by a life threatening event. These individuals experience persistent responses that affect their lives drastically. They are constantly overwhelmed and cannot move on from persistent painful memories. They are in a terrifying state where they feel a constant sense of danger. This paper examines Cognitive Behavior Therapy’s (CBT) various Psychological Treatments for PTSD, specifically examining the effects of the Cognitive Processing Therapy (CPT) approach and its effects on controlling or reducing stressing and intrusive symptoms of PTSD to receive desired outcomes. According to the American Psychiatric Association (DSM-IV-TR), individuals diagnosed with PTSD have to be exposed to an actual traumatic or life threatening event in which they experienced, witnessed, or was confronted with an event that could have caused serious injury or threatened the integrity of self or others, which initiated an intense response of agitated behavior, horror, or fear, (2000). Traumatic events include and are not limit... ... middle of paper ... ... Foa, E. B., Davidson, R. T., & Frances, A. (1999). Expert Consensus Guideline Series: Treatment of Posttraumatic Stress Disorder. American Journal of Clinical Psychiatry, 60, 5−76. Foa, E.B., Keane, T., and Friedman, M. (2000) (Eds.) Treatment guidelines for Post Traumatic Stress Disorder. New York: Guilford Press. Foa, E. B., Rothbaum, B. O., & Furr, J. M. (2003). Augmenting exposure therapy with other CBT procedures. Psychiatric Annals, 33(1), 47−53. Friedberg, R. D., & McClure, J. M. (2002). Clinical Practice of Cognitive Therapy with Children and Adolescents. New York: The Guildord Press. Rauch, S. A. M., & Cahill, S. P. (2003). Treatment and prevention of posttraumatic stress disorder. Primary Psychiatry.10(8), 60-65. Resick, P. A., & Schnicke, M. K. (1993). Cognitive processing therapy for rape victims: A treatment manual. Newbury Park, CA: Sage.
Antwone Fisher presents characteristics consistent with Posttraumatic Stress Disorder (American Psychiatric Association, 2013, p. 271). The American Psychiatric Association described the characteristics of Posttraumatic Stress Disorder, or PTSD, as “the development of characteristic symptoms following exposure to one or more traumatic events” (American Psychiatric Association, 2013, p. 271). The American Psychological Association (2013) outlines the criterion for diagnosis outlined in eight diagnostic criterion sublevels (American Psychiatric Association, 2013, pp. 271-272). Criterion A is measured by “exposure to actual or threatened” serious trauma or injury based upon one or more factors (American Psychiatric Association, 2013, p.
PTSD is a battle for everyone who is diagnosed and for the people close to them. The only way to fight and win a battle is to understand what one is fighting. One must understand PTSD if he or she hopes to be cured of it. According to the help guide, “A positive way to cope with PTSD is to learn about trauma and PTSD”(Smith and Segal). When a person knows what is going on in his or her body, it could give them better control over their condition. One the many symptoms of PTSD is the feeling of helplessness, yet, knowing the symptoms might give someone a better sense of understanding. Being in the driver’s seat of the disorder, can help recognize and avoid triggers. Triggers could be a smell, an image, a sound, or anything that could cause an individual to have a flashback of the intimidating event. Furthermore, knowing symptoms of PTSD could, as well, help one in recovering from the syndrome. For instance, a person could be getting wor...
Ozer, Emily, and Daniel Weiss. "Who Develops Posttraumatic Stress Disorder?." Current Directions in Psychological Science. 13.4 (2004): 169-172. Web. 14 Apr. 2014.
The investigators sought out potential subjects through referrals from psychiatric hospitals, counseling centers, and psychotherapists. All potential subjects were screened with a scripted interview and if they met all the inclusion criteria they met with an investigator who administered the Clinical-Administered PTSD Scale(CAPS) to provide an accurate diagnosis. In the end the study ended up with 12 subject, 10 females and 2 males with a mean age of 41.4, that met the criteria for PTSD with treatment resistant symptoms, which were shown with a CAPS score of greater than or equal to 50.
Psychotherapy integration is best explained as an attempt to look beyond and across the dimensions of a single therapy approach, to examine what one can learn from other perspectives, and how one’s client’s can benefit from various ways of administering therapy (Corey, 2013). Research has shown that a variety of treatments are equally effective when administered by therapist who believe in them and client’s that accept them (Corey, 2013). Therefore, one of the best aspects of utilizing an integrative approach is that, in most cases, if a therapist understands how and when to incorporate therapeutic interventions, they usually can’t go wrong. While integrating different approaches can be beneficial for the client, it is also important for the
Whealin, J.M., Decarvahlo, L.T. and Edward, M.V. (2008) Clinician’s Guide to Treating Stress After War. New-Jersey: John Wiley and Sons, pp.20-30.
Cognitive Behavioral Therapy (CBT) is a hands-on form of psychotherapy that is empirically based, which focuses on the interrelationship between emotions, behaviors, and thoughts. Through CBT, patients are able to identify their distorted thinking and modify their beliefs in order to change their behaviors. Once a patient changes their distorted thinking, they are able to think in a more positive and realistic manner. Overall, CBT focuses on consistent problem solving strategies and changing negative thought distortions and negative behavior. There are different types of CBT, which share common elements. Trauma Focused Cognitive Behavioral Therapy is a kind of CBT, which falls under the umbrella of CBT.
Schiraldi, G. R. (2009). The post-traumatic stress disorder sourcebook: A guide to healing, recovery, and growth. New York, NY: McGraw-Hill.
Beck, J. S. (2005). Cognitive therapy for challenging problems: What to do when the basics don't work. New York: Guilford Press
Posttraumatic Stress Disorder is defined by our book, Abnormal Psychology, as “an extreme response to a severe stressor, including increased anxiety, avoidance of stimuli associated with the trauma, and symptoms of increased arousal.” In the diagnosis of PTSD, a person must have experienced an serious trauma; including “actual or threatened death, serious injury, or sexual violation.” In the DSM-5, symptoms for PTSD are grouped in four categories. First being intrusively reexperiencing the traumatic event. The person may have recurring memories of the event and may be intensely upset by reminders of the event. Secondly, avoidance of stimuli associated with the event, either internally or externally. Third, signs of mood and cognitive change after the trauma. This includes blaming the self or others for the event and feeling detached from others. The last category is symptoms of increased arousal and reactivity. The person may experience self-destructive behavior and sleep disturbance. The person must have 1 symptom from the first category, 1 from the second, at least 2 from the third, and at least 2 from the fourth. The symptoms began or worsened after the trauma(s) and continued for at least one
The article under review is Posttraumatic Stress Disorder in the DSM-5: Controversy, Change, and Conceptual Considerations by Anushka Pai, Alina M. Suris, and Carol S. North in Behavioral Sciences. Posttraumatic Stress Disorder (PTSD) is a mental health problem that some people develop after experiencing or witnessing a life-threatening event, like combat, a natural disaster, a car accident, or sexual assault (U.S. Department VA, 2007). PTSD can happen to anyone and many factors can increase the possibility of developing PTSD that are not under the person’s own control. Symptoms of PTSD usually will start soon after the traumatic event but may not appear for months or years later. There are four types of symptoms of PTSD but may show in different
Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) is one of the most commonly utilized interventions for children (Cary & McMillen, 2011). TF-CBT is a highly structured intervention consisting of 90-minute weekly sessions. The clinician works with the client through eight competencies, including psychoeducation, relaxation, affective expression and regulation, cognitive coping, trauma narrative development and processing, gradual exposure, joint parent/child sessions, and enhancing future development (Cary & McMillen, 2011). TF-CBT has an extensive history and many variations. Clinicians utilize a number of other cognitive behavior treatments that have been adapted to meet the needs of traumatized children (Cary, & McMillen, 2012; Smith et al., 2007). While there are a number of cognitive behavior treatments, TF-CBT has received the highest classification rating for supported and effective treatment from many studies (Cary, & McMillen, 2012; Kauffman Best Practices Project, 2004).
“Cognitive-behavior therapy refers to those approaches inspired by the work of Albert Ellis (1962) and Aaron Beck (1976) that emphasize the need for attitude change to promote and maintain behavior modification” (Nichols, 2013, p.185). A fictitious case study will next be presented in order to describe ways in which cognitive behavioral therapy can be used to treat the family members given their presenting problems.
PTSD is a debilitating mental illness that occurs when someone is exposed to a traumatic, dangerous, frightening, or a possibly life-threating occurrence. “It is an anxiety disorder that can interfere with your relationships, your work, and your social life.” (Muscari, pp. 3-7) Trauma affects everyone in different ways. Everyone feels wide ranges of emotions after going through or witnessing a traumatic event, fear, sadness and depression, it can cause changes in your everyday life as in your sleep and eating patterns. Some people experience reoccurring thoughts and nightmares about the event.
Friedberg, R. D., McClure, J. M. & Garcia, J. H. (2009). Cognitive therapy techniques for children and adolescents: Tools for enhancing practice. New York, NY: Guilford Press